DocumentsDate added
Original research article:-Surgery
YP Lamani 1*, S R Telkar1 & B V Goudar2
1Assistant Professor, 2Associate Professor, Department of Surgery, S N Medical College and HSK Hospital, Bagalkot ,Karnataka, India.
Abstract:-
The aim of this study was to evaluate the safety and efficacy of laparoscopic repair for perforated peptic ulcer. It is a better method of treating duodenal ulcer perforation when the patient's condition allows pneumoperitoneum and laparoscopy. The advantages of laparoscopic repair for perforated peptic ulcer include less pain, a short hospital stay, and an early return to normal activity. Laparoscopic technique is safe, feasible, and with less morbidity and mortality comparable to that of the conventional open technique. We performed simple closure of the perforation laparoscopically and compared the results with those obtained by open surgery.
Key words:- Duodenal perforation, Laparoscopic repair, Perforated peptic ulcer.
References:
1. Alagaratnam TT, Wong J. No decrease in duodenal ulcer surgery after cimetidine in Hong Kong. J Clin Gastroenterol 1988; 10: 25–7.
2. Kulber DA, Hartunian S, Schiller D, Morgenstern L. The current spectrum of peptic ulcer disease in the older age groups. Am Surg 1990; 56: 737.
3. Gilinsky NH. Peptic ulcer disease in the elderly. Gastroenterol Clin North Am 1990; 19: 255.
4. Agrez MV, Henry DA, Senthiselvan S, Duggan JM. Changing trends in perforated peptic ulcer during the past 45 years. Aust NZ J Surg 1992; 62: 729.
5. Svanes C, Salvesen H, Stangeland L, et al. Perforated peptic ulcer over 56 years: time trends in patients and disease characteristics. Gut 1993; 34: 1666.
6. Lanas A, Serrano P, Bajador E, et al. Evidence of aspirin use in both upper and lower gastrointestinal perforation. Gastroenterology. 1997;112:683–9.
Copyright © 2013 Lamani YP, Telka S R & Goudar B V. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:- Orthodontics and Dentofacial Orthopedics
Dhandapani G1*, Mahendra G.M1, Revathy A.R2 & Menezes G.A2
1Department of Orthodontics and Dentofacial Orthopedics, Sree Balaji Dental College & Hospital. 2Department of Central Research Laboratory, Sree Balaji Medical College & Hospital, Chromepet, Chennai (Bharath University), India.
Abstract:- Introduction: Twins are of two types, monozygotic and dizygotic and the status of development of a child is usually assessed in relation to events that take place during progress of growth. Thus chronological age, dental development, height and weight measurements, sexual maturation characteristics and skeletal age are some biological indicators that have been used to identify time of growth. The objective of the study was to assess the correlation between the chronological age, dental age and skeletal age among twins of different types. Materials & methods: Panoramic and hand wrist radiographs of 30 twins between 8-16 years of age were evaluated and compared for correlation of dental, skeletal and chronological ages. Results: The result indicated that correlation exists between all three above characteristics among twin pairs of the same zygosity and sex, but no correlation exits between different zygotic twins and twins of different sex. Conclusion: There is Correlation between chronological age; dental age and skeletal age among monozygotic and dizygotic twins of the same sex whereas, no correlation exists between mixed sex pair twins. Keywords:- Monozygotic, dizygotic, panoramic, hand wrist radiographs.
References:
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Copyright © 2013 Dhandapani G et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case report:-Biochemistry
*Renu Nagar
*Department of Biochemistry, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himanchal Pradesh India.
Abstract:- A previously euthyroid, 55 years old malnourished woman admitted for elective surgery for multiple renal stones was found to have low T3 (60 ng/dl), low T4 (1.76 µg/dl), low TSH (0.144 mIU/ml) and moderately increased anti-TPO antibodies (179.0 IU/ml). Patient was clinically euthyroid, had no history of Thyroid illness, nor any symptoms or signs of Pituitary or Hypothalamic disorder. Thyroid biopsy showed degenerative changes. It was decided to defer her surgery till normalization of Thyroid profile. She was discharged from hospital with Thyroid hormone replacement. The patient’s T3 and T4 improved with Thyroxine, but TSH dropped further. Keywords:- Euthyroid sick syndrome; Non thyroidal illness; Renal stones, Pre operative; Stress; T3, T4,ESS, NIT, anti-TPO.
References:-
1.Kelly, NDG. Peripheral Metabolism of Thyroid Hormones: A Review . Altern Med Rev 2001; 5: 306-33.
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6.Gou DY, Su W, Shao YC, Lu YL. Euthyroid sick syndrome in trauma patients with severe inflammatory response syndrome. Clin J Traumatol 2006; 9: 115-7.
7.Reinhardt W, Mann K. Non-thyroid illness or changed thyroid hormone parameter syndrome with non-thyroid illnesses. Med Klin 1998; 93: 662-8.
8.Stathatos N, Wartofsky L. Perioperative management of patients with hypothyroidism. Endocrinol Metab Clin N Am 2003; 32: 503–18.
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10.Engler H, Riesen WF, Keller B. Anti-thyroid peroxidase (anti-TPO) antibodies in thyroid diseases, non-thyroidal illness and controls. Clinical validity of a new commercial method for detection of anti-TPO (thyroid microsomal) autoantibodies. Clin Chim Acta 1994; 225: 123-36.
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Copyright © 2013 Nagar Renu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:-
A. J. Manjula Devi1 and S.Birundha2*
1Head of the Department & Professor, 2*Post Graduate, Department of Biochemistry, Sree Balaji Medical College, Chennai, India.
Abstract:- Background: Diabetes Mellitus (DM) is a metabolic disorder. Microalbuminuria is the main cause of morbidity and mortality in patients with DM. It is characterized by increased prevalence of arterial hypertension, proliferative retinopathy, and peripheral neuropathy. The present study was undertaken to determine the incidence of Microalbuminuria (Albumin/creatinine ratio) in type 2 diabetic patients. Materials & Methods: 25 patients with diagnosed diabetic subjects were selected for the study. Blood samples were collected for the estimation of FBS (Fasting Blood Sample), serum creatinine and 2 hours post meal for PPBS (Post Prandial Blood Sample). Urine samples were collected in sterilised containers.25 healthy age and sex matched control subjects were chosen. Results: Significant increase in the levels of urine microalbumin was observed in type 2 diabetes compared to healthy controls. Conclusion: Microalbuminuria is the diagnostic marker of nephropathy in diabetes mellitus and is an indicator of microvascular damage affecting renal functions. This study emphasizes the importance of microalbuminuria as an early marker of microvascular morbidity involved in type 2 diabetes and helps in better handling of this pandemic disease, diabetes mellitus. Key words:- Diabetes Mellitus (DM), Microalbuminuria, Diabetic nephropathy.
References:-
1.Dinneen SF, Gerstein HC. The association of microalbuminuria and mortality in non-insulin-dependent diabetes mellitus. A systematic overview of the literature 1997, Jul 14; 157(13):1413-8.
2.Manjunatha Goud B.K et al. Diabetes Mellitus And Microalbuminuria: Factors Affecting collection of urine samples for microalbuminuria.2011, Jan; 2:1.
3.Trinder P. Estimation of glucose by the method of GOD-POD.Clin bio chem. 1969; 6:24.
4.Pedersen LM et al. Screening methods for microalbuminuria in diabetes mellitus.1990, 152(13):912-3.
5.Tietz. Estimation of creatinine by the method of jaffes’s method.Text book of clinical chemistry, 3rd edition,1986;ISBN 0-7216-8886-1
6.Joseph D, Karnoz et al. Screening for a microalbuminuria useful for the testing for the prevention of renal disease in diabetic mellitus.2003; 3:52.
Copyright © 2013 A.J.Manjula Devi and S.Birundha. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:-
1*Swarnkar Madhusudan ,1Sheikh A.H., 3Singh Raghuveer, 1Mulla Shakila & 3Baig Vaseem N.
1M.D. Assistant Professor,2M.D. Professor and HOD, 3M.D. Associate Professor Dept. of PSM, Jhalawar Medical College, Jhalawar, Rajasthan, India.
Abstract: Background: Data related to acceptance of methods of family planning was present but not analyzed in a scientific method so this was an effort to analyze data of a tertiary care hospital of Rajasthan,India. Methodology: This was a hospital based retrospective study and monthly reports of family Planning acceptance from April 2010 March 2012 of Jhalawar Medical College and Hospital, Jhalawar, Rajasthan, India were analyzed. Results: Highest acceptance of sterilization was found in females (99%), of Hindu religion(78% to 83%) and of general caste(~66%), in the age group of 25-29 years(52%) and having parity two (40% to 54%) with low literacy (37% to 44%) during both years. Conclusions: Acceptance of permanent sterilization is completely by females only; only 1% males accepted this method of sterilization, parity 2 females compare to higher parity and illiterate females compared to literate ones accepted this method of sterilization more.
Key words:- Family Planning acceptance, Parity, Sterilization.
References:
1.J. kihore’s. National Health Programs of India, 9th edition, century publications New Delhi; P-121.
2.Gupta, U.; Kumar, P.; Bansal, A.; Sood, M.: Changing trends in the demographic profile and attitudes of female sterilization acceptors. The Journal of Family Welfare. Sept 1996; 42(3):27-31.
3.Govt. of India (1984), Year book Family Welfare Programe in India 1983-84, Ministry of Health, New Delhi.
4.K. Park. Text book of Preventive and Social Medicine, 21st edition, Banarsidas Bhanot Publishers, Jabalpur; p- 456-71,
5.Govt. of India (2010), Family Welfare Statistics in India 2009, Ministry of Health and Family Welfare, New Delhi. 6.Family Welfare statistics in India – 2011, Statistics Divisions, Ministry of Health and Family Welfare, Government of India. p - B-31- 40.
Conflict of interest: - Author have not declare any conflict of interest
Source of funding: - None
Copyright © 2013 Madhusudan Swarnkar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.